STEPHEN WILSON JR.


Address: 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810
Phone: 3232936291

STEPHEN WILSON JR. (NPI# 1902448038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902448038
Entity Type Individual
Full Name STEPHEN WILSON JR.
Practice Address 5318 Crenshaw Blvd
Los Angeles
CA 90043-1810
Practice Telephone 3232936291
Mailing Telephone 3232936291
Enumeration Date 2019-10-10
Last Update Date 2019-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
R1367131019 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 5318 CRENSHAW BLVD
City LOS ANGELES
State CA
Zip Code 90043-1810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437492659 Asian American Drug Abuse Program, Inc Substance Abuse Rehabilitation Facility 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2013-04-05
1891394672 Norma Cabral Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2020-10-22
1811595788 Nydia Leon Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2020-10-13
1811504699 Jessie Cho Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2020-09-25
1417587015 James M Stinson Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2020-01-22
1780225532 Fumiko Irene Fukumoto Gonzales Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2019-10-02
1043779507 Demetria Jarmon Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2019-03-14
1831656297 Letrelle Ashley Drake Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2019-02-21
1477035434 Tommy Rendon Sr. Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2018-09-05
1689175507 Damond T Alford Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2018-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841772209 Ichizo Yamada Counselor 5318 S Crenshaw Blvd., Los Angeles, CA 90043 2018-09-02
1568961613 Marnelle Mascardo Counselor 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 2018-02-05
1700315199 Positive Imagery Foundation Prevention Professional 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 2017-06-08
1770946303 Toby Lapesarde Licensed Vocational Nurse 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 2016-03-31
1134591480 Coast Wise Solution Case Management 2728 54th St, Los Angeles, CA 90043 2015-10-27
1033589155 Nina Gonzaga Marriage & Family Therapist 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 2015-10-01
1861743189 Donna M. Tizenor-tate Counselor 5300 Angeles Vista Blvd., Los Angeles, CA 90043 2012-09-26
1952657736 Willie Frank Sibley Jr. General Practice 4330 Monteith Dr, Los Angeles, CA 90043 2012-07-30
1639449119 Nelson M Okeke Counselor 8814 S. Western Ave, La, CA 90043 2011-12-30
1578840799 Economic Services, Incorporated Exclusive Provider Organization 5144 Crenshaw Blvd., Los Angeles, CA 90043 2011-11-16
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90043

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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